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NPI Code Detail

MEDICARE: MRS. REBECCA E ZETTS LISW-S

MEDICARE: MRS. REBECCA E ZETTS LISW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.1200810-SUPVOH
21041C0700XClinical Social WorkerS0800720OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710286760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA E ZETTS LISW-S
Provider Business Mailing Address
First Line : 2304 NORTH AVE
Second Line :
City : PARMA
State : OH
Zip : 44134
Country : US
Telephone Number : 440-823-3937
Fax Number :
Provider Business Practice Location Address
First Line : 10427 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-1645
Country : US
Telephone Number : 216-409-6316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 12/12/2025

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